Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 98533 | AZ |
NPI | 1124249412 |
---|---|
Provider Name | Dr. Laryn Elizabeth Callaway |
First Address | Scottsdale, AZ 85250-4626 |
Second Address | Scottsdale, AZ 85258-4368 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2007 |
Last Update Date | 20/07/2009 |